We describe the consequences of 2 major changes in notification criteria for Shiga toxin-producing Escherichia coli surveillance in the Netherlands. The change to reporting acute, more severe infections appears to be a good compromise between workload, redundancy, and public health relevance, provided isolates remain available for typing and sequencing.
Keywords: E. coli; Shiga-Toxigenic Escherichia coli; bacteria; enteric infections; epidemiology; food safety; foodborne diseases; incidence; public health; the Netherlands; trends; zoonoses.